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/02926',4D'32.7a/ 35/5
<br /> ELECTRICAL PE MIT APPLNCAT1ON >a;,4 32a/
<br /> CITY or EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERE 1 1,WA 98201
<br /> (P)425-257-8810 J FAX 425-257-8857 j (E)everefteps@evereftwa.gov] www.everettwagov/permits
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<br /> PROJECT ADDRESS: 10 '27j-/1 . R "x 49
<br /> BUILDING AREA(if residential,new construction,remodel,or action) SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: g COMMERCIAL
<br /> USE OF BUILDINp t-.-[T'
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<br /> CONTRACT PRICE OF WORK:$ `71�000
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? ❑YES NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):lif��}�,.� /f
<br /> DESCRIPTION OF WORK: {w�,� 'rs'yt ,o /�eli�•"�" 1 /
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<br /> OWNER NAME: TENANT NAME(If Commercial): /14,
<br /> OWNER MAILING ADDRESS: sTREEr fb SOX 3707
<br /> CnY EAT/1E • STATE 1rV/f 2207
<br /> OWNER PHONE: OWNER EMAIL:
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<br /> CONTRACTOR NAME: 6le1V z1t, 69P57-gue..7'o/(,.)
<br /> CONTRACTOR ADDRESS: STREET PO BOX 44,
<br /> cmf mag ll.7-E-4.2 4.2 Q STATE '1 24P gg2d4
<br /> CONTRACTOR PHONE:425-214-6944 CONTRACTOR EMAIL: kA/e./. IMAM E' 2kik"w/7'. &D/n
<br /> CONTRACTOR LIC.#(RE(WIRED): agiti6 E aidi.O Z CITY OF EVERETT BUSINESS LIG.(#(REQUIRED):0400L
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<br /> PRIMARY CONTACT: ©OWNER X3I CONTRACTOR El OTHER(Please Specify)
<br /> CONTACT NAME: ,.I CONTACT PHONE: 2' t3 -I3 b"tp 544'
<br /> J)I 1 1I5 ��aW CONTACT EMAIL: DNIS.e.KoW® k!Ew'�T. LL ofll
<br /> AGREEMENT:Thereby certify that l have read end examined this application and know the same to be Prue and correct. All provisions of lam and ordinances governing this
<br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or
<br /> local law regulating construction or the performance of construction. That f am authorized by the ownerof this property to perform the work for which eppicatlon fs made and 1
<br /> comply with the State Contractors Law 98.27 ROW and 286.20d WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> 414 //5--
<br /> PERMIT#
<br /> ,.j n 15 E l%O( - e9 I
<br /> Owner Au or zed Agen Signature Date (Revised 10/92/2018)
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